fvtt-warhero/templates/roll-dialog-generic.html

<form class="skill-roll-dialog">
  <header class="roll-dialog-header">
    {{#if img}}
    <img class="actor-icon" src="{{img}}" data-edit="img" title="{{name}}" />
    {{/if}}
    <h1 class="dialog-roll-title roll-dialog-header">{{title}}</h1>
  </header>

    <div class="flexcol">

      {{#if weapon}}
      <div class="flexrow">
        <span class="roll-dialog-long">Weapon : </span>
        <span class="item-field-label-medium">{{weapon.name}}</span>
        {{#if (eq mode "damage")}}
          <div class="flexrow">
            <span class="roll-dialog-long">Damage : </span>
            <span class="item-field-label-medium">{{weapon.damageFormula}}</span>
          </div>
        {{/if}}
      </div>
      {{/if}}

      {{#if stat}}
      <div class="flexrow">
        <span class="roll-dialog-long">{{localize stat.label}}</span>
        {{#if (eq mode "save")}}
          <span class="item-field-label-medium">{{stat.save}}</span>
        {{else}}
          <span class="item-field-label-medium">{{stat.value}}</span>
        {{/if}}
      </div>

        {{#if stat.istxc}}
        <div class="flexrow">
          <span class="roll-dialog-long">Multiple weapons malus ({{mWeaponMalus}})? </span>
          <span class="item-field-label-medium"><input type="checkbox" id="usemWeaponMalus" name="usemWeaponMalus" {{checked usemWeaponMalus}}/></span>          
        {{/if}}
        </div>
      {{/if}}

      {{#if shield}}
      <div class="flexrow">
        <span class="roll-dialog-long">Use shield ? : </span>
        <span class="roll-dialog-label">
          <input type="checkbox" id="useshield" name="useshield" {{checked useshield}}/>
        </span>
      </div>
      <div class="flexrow">
        <span class="roll-dialog-long">{{shield.name}} : </span>
        <span class="roll-dialog-label">{{shield.data.shielddie}}</span>
      </div>
      {{/if}}

      {{#if power}}
      <div class="flexrow">
        <span class="item-field-label-long">Power : </span>
        <span class="item-field-label-medium">{{power.name}}</span>
      </div>
      <div class="flexrow">
        <span class="item-field-label-long">Power Level : </span>
        <select class="item-field-label-medium" type="text" id="powerLevel" value="{{powerLevel}}">
          {{#select powerLevel}}
            <option value="1">1</option>
            <option value="2">2</option>
            <option value="3">3</option>
            <option value="4_1">4 - 1</option>
            <option value="4_2">4 - 2</option>
          {{/select}}
        </select>
      </div>
      {{/if}}

      {{#if hasBM}}
      <div class="flexrow">
        <span class="roll-dialog-long">Bonus/Malus : </span>
        <select class="item-field-label-medium" type="text" id="bonusMalus" value="{{bonusMalus}}">
          {{#select bonusMalus}}
            <option value="-6">-6</option>
            <option value="-5">-5</option>
            <option value="-4">-4</option>
            <option value="-3">-3</option>
            <option value="-2">-2</option>
            <option value="-1">-1</option>
            <option value="0">0</option>
            <option value="1">1</option>
            <option value="2">2</option>
            <option value="3">3</option>
            <option value="4">4</option>
            <option value="5">5</option>
            <option value="6">6</option>
          {{/select}}
        </select>
      </div>
      {{/if}}

    </div>

</form>